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This research introduces a novel framework using language models to disentangle questionnaire wording artifacts from genuine individual distress signals in psychiatric assessments. By demonstrating that speech-derived symptom geometry often mirrors item structure rather than psychological reality, the study advances the reliability of AI-driven mental health diagnostics. This work is pivotal for developing robust clinical tools that accurately track personal states without being confounded by linguistic biases.
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COMPASS 2.0: psychometric representational similarity analysis distinguishes symptom structure from personal signal

arXiv2 min read

arXiv:2610.06615v1 Announce Type: cross Abstract: Language models can score psychiatric questionnaires from speech, but agreement with self-report may reflect the questionnaire rather than the person. We introduce psychometric representational similarity analysis, a framework for comparing the structure of speech-derived scores, self-report, item wording and theory, and implement it alongside person-level construct scoring in COMPASS 2.0. We show how similarly worded items induce covariance without psychological signal. In pre-registered discovery and confirmation analyses of clinical interviews from 275 participants, language-derived symptom geometry resembled wording more than self-report, with no structure beyond wording detected by the registered tests. Geometric agreement with self-report survived assigning participants someone else's answers, whereas person-paired scores captured distress more than specific symptoms. Complementary analyses examined counselling quality and wording structure across 34 instruments and the Research Domain Criteria (RDoC) framework. These findings distinguish agreement about psychological structure from evidence that language-derived assessments track individual people.

Title:COMPASS 2.0: psychometric representational similarity analysis distinguishes symptom structure from personal signal

Abstract:Language models can score psychiatric questionnaires from speech, but agreement with self-report may reflect the questionnaire rather than the person. We introduce psychometric representational similarity analysis, a framework for comparing the structure of speech-derived scores, self-report, item wording and theory, and implement it alongside person-level construct scoring in COMPASS 2.0. We show how similarly worded items induce covariance without psychological signal. In pre-registered discovery and confirmation analyses of clinical interviews from 275 participants, language-derived symptom geometry resembled wording more than self-report, with no structure beyond wording detected by the registered tests. Geometric agreement with self-report survived assigning participants someone else's answers, whereas person-paired scores captured distress more than specific symptoms. Complementary analyses examined counselling quality and wording structure across 34 instruments and the Research Domain Criteria (RDoC) framework. These findings distinguish agreement about psychological structure from evidence that language-derived assessments track individual people.

28 pages, including Extended Data and Supplementary Information. Code for reproducibility: this https URL

Neurons and Cognition (q-bio.NC); Computation and Language (cs.CL)

arXiv:2610.06615 [q-bio.NC]

(or arXiv:2610.06615v1 [q-bio.NC] for this version)

https://doi.org/10.48550/arXiv.2610.06615 Focus to learn more arXiv-issued DOI via DataCite (pending registration)

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Full text under the publisher's open licence · 268 words

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